The Effectiveness of Temporomandibular Joint Mobilization and Exercise in Individuals With Chronic Neck Pain

NCT ID: NCT06005922

Last Updated: 2024-06-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2023-12-03

Brief Summary

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To examine the effects of temporomandibular joint mobilization and exercises added to the conventional physiotherapy program on posture, functionality and muscular endurance in individuals with chronic neck pain.

Detailed Description

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Our research is a randomized controlled trial. 50 participants will be included in the study, which will be conducted on individuals aged 18-65 years with chronic neck pain. Participants will be divided into 2 groups as experimental and control groups by simple randomization method. All patients will be treated with conventional physiotherapy methods for 4 weeks and 5 days a week. In addition to conventional treatment, temporomandibular joint mobilization techniques were applied to the experimental group; exercises will be given. In the study, temporomandibular dysfunction (TMD) Pain Screener, Neck Disability Index, and Visual Analog Scale questionnaires will be applied to the patients twice, before and after the treatment. Before and after the treatment, the cervical region's range of motion and muscular endurance will be measured by the physiotherapist. Pre- and post-intervention data were statistically analyzed and compared.

Conditions

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Temporomandibular Joint Disorders Temporomandibular Joint Dysfunction Syndrome Neck Pain Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

temporomandibular joint mobilization and temporomandibular joint exercises
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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conventional physiotherapy methods

conventional physiotherapy methods

Group Type ACTIVE_COMPARATOR

physiotherapy

Intervention Type OTHER

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

temporomandibular joint (TMJ) group

conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises

Group Type EXPERIMENTAL

physiotherapy

Intervention Type OTHER

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

TMJ exercises

Intervention Type OTHER

tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch

Interventions

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physiotherapy

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

Intervention Type OTHER

TMJ exercises

tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 18-65,
* Having neck pain lasting longer than 3 months,
* Absence of known systemic disease or trauma history,
* Volunteering to participate in the research.

Exclusion Criteria

* Having a history of trauma in the areas that are the subject of the study, such as head and neck surgery, upper extremity, thoracic and cervical vertebrae,
* Disc displacement, osteoarthrosis, osteoarthritis signs and symptoms
* Having a neurological-psychiatric diagnosis that may affect the measurement results.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uskudar University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Öğr. Üyesi Ömer Şevgin

Asst. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Şeyma DELCEOĞLU

Role: STUDY_CHAIR

Uskudar University

Locations

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Medicana Hospital

Umraniye, Istanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendin F. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil. 2019 Feb;46(2):109-119. doi: 10.1111/joor.12733. Epub 2018 Oct 26.

Reference Type BACKGROUND
PMID: 30307636 (View on PubMed)

McCarty WL Jr, Darnell MW. Rehabilitation of the temporomandibular joint through the application of motion. Cranio. 1993 Oct;11(4):298-307. doi: 10.1080/08869634.1993.11677982.

Reference Type BACKGROUND
PMID: 8118901 (View on PubMed)

Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.

Reference Type BACKGROUND
PMID: 32723399 (View on PubMed)

Reynolds B, Puentedura EJ, Kolber MJ, Cleland JA. Effectiveness of Cervical Spine High-Velocity, Low-Amplitude Thrust Added to Behavioral Education, Soft Tissue Mobilization, and Exercise for People With Temporomandibular Disorder With Myalgia: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2020 Aug;50(8):455-465. doi: 10.2519/jospt.2020.9175. Epub 2020 Jan 6.

Reference Type BACKGROUND
PMID: 31905097 (View on PubMed)

Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

Reference Type BACKGROUND
PMID: 28826164 (View on PubMed)

Other Identifiers

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Uskudar63

Identifier Type: -

Identifier Source: org_study_id

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